Frederick S Bader, PA-C
Physician Assistant, Medical in Gaithersburg, MD. Individual provider (NPI-1).
NPI number1174519029
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1174519029
- Entity type
- Individual (NPI-1)
- Name
- Frederick S Bader
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA-003178-L | PA | Yes |
Practice location
19134 Clover Meadow PlGaithersburg, MD 20879-3141
Phone 301-540-1188
Mailing address
Po Box 2993Gaithersburg, MD 20886-2993
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